KATIE DUHARTE
Orlando
Summary
Experienced Business Project Lead Analyst with 10+ years of expertise in enhancing operations processes, increasing productivity, and efficiency. Skilled in creating comprehensive business requirements and conducting UAT testing for new products and business enhancements. Capable of delivering compelling business value to clients, driving business growth to new heights.
Overview
12
12
years of professional experience
Work History
Project Analyst III
Health Care Service Corporation, HCSC
03.2025 - Current
- Supports Group MA Operations Enrollment and Reconciliation efforts
- Supports daily, weekly and monthly reporting for enrollment and reconciliation efforts
- Partner with operational and data analytic teams to identify, develop and implement technology and business processes that enable operational oversight
- Supports the project team in each step of the implementation process by participating in discussions, preparing requirements, UAT testing, reporting bugs and contributing to the success of projects
- Analyze operations team processes for improvement opportunities
- Maintain knowledge of federal regulations and guidance
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Adaptable individual with exceptional interpersonal skills and talent for building relationships. Known for delivering outstanding service and enhancing client satisfaction. Focused on fostering positive interactions and creating collaborative environment.
- Maintained database systems to track and analyze operational data.
- Devised and implemented processes and procedures to streamline operations.
Business Project Lead Analyst
Cigna
07.2021 - 03.2025
- Supports Group MA Operations Enrollment and Reconciliation efforts
- Supports daily, weekly and monthly reporting for enrollment and reconciliation efforts
- Partner with operational and data analytic teams to identify, develop and implement technology and business processes that enable operational oversight
- Supports the project team in each step of the implementation process by participating in discussions, preparing requirements, UAT testing, reporting bugs and contributing to the success of projects
- Analyze operations team processes for improvement opportunities
- Maintain knowledge of federal regulations and guidance
- Used critical thinking to break down problems, evaluate solutions and make decisions.
- Adaptable individual with exceptional interpersonal skills and talent for building relationships. Known for delivering outstanding service and enhancing client satisfaction. Focused on fostering positive interactions and creating collaborative environment.
- Maintained database systems to track and analyze operational data.
- Devised and implemented processes and procedures to streamline operations.
Eligibility Analyst Senior Associate
Cigna
09.2013 - 07.2021
- Analyze and interpret data to optimize needs of the business
- Requested and worked reports to support strong Senior Segment financial results
- Team Lead- Performed Audits for the MSP/COB [Medicare Secondary Payer/Coordination of Benefits] Team ensuring all Quality and Compliance pieces were handled according to CMS Guidelines
- Lead analyst in the resolution of IT tickets including the creation of BRD's, test cases and the implementation of a workaround
- Preparing data for the 1/3 Financial Audit (2013 and 2016)
- Assisted in the creation of new processes or changes to the current process that would increase the efficiency and quality of business
- Works with Compliance to ensure all processes meet CMS guidance regarding all business products
- Collaborated to construct the re-design of the Other Health Insurance Application to fulfill the requirement as identified in a 2013 Cap Audit
- Performs job ethically in accordance with all applicable laws and regulations( HIPPA)
- Excellent Motivational, Organizational, and Analytical skills
Education
Bachelor of Science - Business Administration
Valencia College
Orlando, FL12-2024
Associate of Applied Science - Business Administration
Valencia College
Orlando, FL05-2023
Skills
- Project Execution
- Data Analysis
- Cross-Functional Collaboration
- User Acceptance Testing
- Systematic Problem Resolution
- Client Engagement
- Workflow Analysis
- JIRA
- Confluence
- Requirements Analysis
- Management standardization
- Cross-functional coordination
- Issue tracking
Systems And Training
QNXT, MHC, ECRS, SxC Catamaran, SQL, MarX, InfoCrossing, Microsoft Word, Excel, Access, Outlook, PowerPoint, Lync, Visio, Cisco, FileBound, Passport, AppXtender, Cerner, Sunport CED, KnowledgeXchange, Technical Writing Training, 01/01/17, Certified Knowledge Management Author, 01/01/18
Timeline
Project Analyst III
Health Care Service Corporation, HCSC
03.2025 - Current
Business Project Lead Analyst
Cigna
07.2021 - 03.2025
Eligibility Analyst Senior Associate
Cigna
09.2013 - 07.2021
Bachelor of Science - Business Administration
Valencia College
Associate of Applied Science - Business Administration
Valencia College
Similar Profiles
Brody MalcomsonBrody Malcomson
Customer Service Advocate at Health Care Service Corporation, HCSCCustomer Service Advocate at Health Care Service Corporation, HCSC
ARNOLD ALUFANETIARNOLD ALUFANETI
Project Coordinator at Health Care Service Corporation, HCSCProject Coordinator at Health Care Service Corporation, HCSC
Ugonna D. NwaokwuUgonna D. Nwaokwu
Business Analyst, Fee for Value Project Delivery and Support Team at Health Care Service Corporation (HCSC)Business Analyst, Fee for Value Project Delivery and Support Team at Health Care Service Corporation (HCSC)